Author Archive

About Carol Foley:

Carol Foley is Manager of Global Health and Safety for HTH Worldwide, based in Radnor, Pennsylvania. A graduate of the University of Massachusetts, Carol has more than 10 years experience in the international health area, and has managed complex medical cases throughout the world. She has a special interest in preparing students for a successful study abroad experience.

More News from the Swine Flu Epicenter

Wednesday, April 29th, 2009 by Carol Foley

tamifluThe CDC has recommended Tamiflu® and Relenza® for treatment of the swine influenza virus . As is often the case in any type of outbreak, there are numerous conflicting reports arising concerning the availability of the necessary medications.

One of our physician advisors, who is based at a Mexico City hospital, has provided us with the latest information on the treatment available for swine flu.

For those already infected, both Tamiflu and Relenza are available in the main hospitals and are believed to be effective for treating swine flu. Tamiflu is not available commercially but has been stockpiled by the government in adequate supplies and is being dispensed with a physician’s prescription under government supervision at large hospitals. We have learned that Tamiflu is starting to appear in pharmacies in Mexico City.  Relenza has been commercially available in Mexico but demand may exceed supply.   We will provide updated information as it becomes available. 

There have also been reports that thousands of people are flooding the hospitals in Mexico City and are being turned away by police. Our physician advisor reports this is NOT TRUE. The main hospitals in the city are accepting anyone who needs treatment. In fact, they are encouraging people to come to the hospital for proper medical care, ideally within the first 24 hours of recognizing symptoms of swine flu.

We will stay in contact with our physician advisor in Mexico and will post any newsworthy updates.

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ADHD (and other mental health conditions) around the Globe

Thursday, April 2nd, 2009 by Carol Foley

rxpad6College years bring opportunities to explore the world. Young adults are adept at traveling light, but today many carry the weight of living with a mental health condition. They may be traveling with Attention Deficit Hyperactivity Disorder (ADHD) or a more serious condition, or, as often happens, a new condition might emerge when an adolescent leaves home for the first time (for reasons Vikram Tarugu cites  in The Real World: Recognizing Illness in Young Adults).

Early diagnosis and treatment of mental health conditions is crucial, so it’s important for students abroad or hoping to go abroad to discuss any suspected symptoms with a mental health professional.  Fortunately, the latest medications and therapies enable diagnosed young people to go pretty much wherever they want without fear and with the blessing of school officials. Coming forward to seek treatment won’t disqualify students from a study abroad program, but it will help ensure that steps are taken to arrange proper treatment and support in the host country.

Finding the right practitioner can be a challenge; in many cultures, physicians are not accustomed to prescribing medications for mental health conditions. Even in a western European country such as Germany, a search may need to be undertaken to find a doctor that will provide care consistent with a treatment plan prescribed in the U.S.

And there are other hurdles as well. Psychiatric medications are typically controlled substances and bringing them across an international border may be illegal. For example, the common ADHD drug Adderall is banned in China, Argentina, the United Arab Emirates and the countries of Western Europe.

Even when legal, medications often vary by brand name and dosage, so getting a prescription filled or refilled can be problematic.  There are tools to help travelers figure these things out, but it’s obviously better to know about them before setting off on your journey. For example, at HTH Worldwide, we have an online and mobile translation tool that finds generic and brand equivalents for over 350 commonly prescribed medications.

Careful preparation may not always be enough because symptoms may first arise upon reaching the destination and may be misinterpreted as culture shock, stress or anxiety. We’ll talk more about that in future postings but in the meantime, remember the importance of self-awareness.   If these conditions persist, they may be symptoms of a larger problem that could be diagnosed and treated by qualified professionals nearby before the situation gets severe.

Certainly, increased understanding and advanced treatment methods have made world travel easier for students. But barriers remain. We have still miles to go to raise awareness of what it takes to keep students healthy while traveling.

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